Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Other names
OUPT Family Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JOINER (CHIEF FINANCIAL OFFICER)
(918) 660-3000
Entity
Organization
Contact information
Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4400
(918) 619-4601
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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